Healthcare Provider Details

I. General information

NPI: 1609728070
Provider Name (Legal Business Name): UNITED ADULT DAYCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2026
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1824 CHARLES ST
RACINE WI
53404-2303
US

IV. Provider business mailing address

1832 GRAND AVE
RACINE WI
53403-2669
US

V. Phone/Fax

Practice location:
  • Phone: 262-331-3435
  • Fax: 262-331-3435
Mailing address:
  • Phone: 262-331-3435
  • Fax: 262-331-3435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATINA BROWN
Title or Position: OWNER/OPERATOR
Credential:
Phone: 262-331-3435